Benefits Forms

Having trouble finding what you’re looking for? Please try using the search bar at the top of the page, or email hrbenefits@umbc.edu for general Benefit questions.

Change of Name/Address Process

Tuition Remission (now online!)

Benefits Enrollment is online in the SPS Workday System

Retiree Enrollment Form for 2022
HIPAA Authorization Form
CHIP Acknowledgement 
COBRA Enrollment Form for 2022

Disabled Dependent Certification Form 
Affidavit for Dependent Eligibility and Tax Status 

State of Maryland MetLife Insurance Beneficiary Form or Beneficiary change online
USM MetLife Term Life Insurance

USM Metlife Long Term Disability

State of Maryland MetLife Accidental Death & Dismemberment Beneficiary Form or Beneficiary Change online

Flexible Spending Claim Forms

Leave forms are available here.

Retirement Plan Selection Form
ORP Retiree Forms Packet 

NEW online process – no more DocuSign forms!

For TIAA and Fidelity supplemental retirement accounts, please login to the USM Retirement@Work portal to enroll and/or make changes.

For MSRP/Nationwide accounts, please enroll and/or make changes at www.marylanddc.com.

For more information, please visit the Supplemental Retirement Accounts website.